Quiz 4: Eight year old boy without a nose

Below is a picture of an eight year old boy seen in India in 2006. He had gradually progressed to this condition over a period of many months. He was breathing on his own and indicating hunger and other needs when seen. He did not give history of fever or trauma. His vital signs were normal except that his systolic BP was over the 95th percentile. His chest and abdomen exams were normal.

Question: What is the diagnosis?

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3 comments:

rakesh September 3, 2010 at 12:25 PM  

can u give d answer pls??

Jason MS III July 2, 2011 at 8:00 PM  

The answer is visible when u submit. Doc, this was a gross image. I've never seen anything like this before. Thanks for sharing it with us. I am a medical student thinking of doing pediatrics as a career but pediatricians are not paid as well as other specialists so I might not. Thanks for your work. I sent you a private message in your anonomi account.

Anonymous July 6, 2011 at 10:26 AM  

I don't know

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